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Health Promotion
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creating the conditions necessary for health at individual, structural, social, and environmental levels through an understanding of the determinants of health: peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social injustice, and equity
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prevention
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promoting a healthy lifestyle at the individual, group, organizational, community, governmental/policy level
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primary prevention
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health promotion efforts designed to prevent the onset and reduce the incidence of unhealthy conditions, diseases, or injuries. attempts to identify, reduce or eliminate risk factors for disease and injury
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secondary prevention
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includes screening, early detection and intervention after disease has occurred and designed to prevent or disrupt the disabling process
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tertiary prevention
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services designed to prevent the progression of a condition
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role of OT in health promotion
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-promote healthy lifestyles
-to emphasize occupation as an essential element of health promotion strategies
-to provide interventions, not only the individuals but also with populations
-to emphasize occupation as an essential element of health promotion strategies
-to provide interventions, not only the individuals but also with populations
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global health
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-health issues that transcend national boundaries and governments and call for actions on the global forces that determine the health of people
-scope of the problems not their location
-address underlying conditions that affect health, including social, economic and environmental factors
-scope of the problems not their location
-address underlying conditions that affect health, including social, economic and environmental factors
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epidemiology
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study of distribution and determinants of health-related states among specified populations and application of that study to the control of health problems
-science of what we are exposed to or what we do affects the overall health of society
-science of what we are exposed to or what we do affects the overall health of society
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4 purposes of epidemiology in public health practice
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-discover the agent, host and environmental factors that affect health
-determine the relative importance of causes of illness, disability, and death
-identify those segments of population that have the greatest risk from specific causes of ill health
-evaluate the effectiveness of health programs and services in improving population health
-determine the relative importance of causes of illness, disability, and death
-identify those segments of population that have the greatest risk from specific causes of ill health
-evaluate the effectiveness of health programs and services in improving population health
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prevalence
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refers to the number existing cases at any one time
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incidence
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restricted to the number of cases occurring over a defined period of time
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epidemic
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disease occurrence among a population that is in excess of what is expected in a given time and place; sudden increase in frequency of infection in a particular population or region
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pandemic
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disease or condition that spreads across regions; an epidemic that affects populations in large regions, continents or the entire globe
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endemic
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disease or condition present among a population at all times; an infection that occurs at a stable, elevated rate in a particular population or region
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globalization
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increasing interconnectedness of countries and the openness of borders to ideas, people, commerce, and financial capital
-refers to every aspect of life; cultural, social, psychological, and political
-creates both positive and negative impacts on society and health
-refers to every aspect of life; cultural, social, psychological, and political
-creates both positive and negative impacts on society and health
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stage of pestilence and famine
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-high mortality due to infectious diseases, malnutrition, pregnancy and birth complications
- average life of expectancy ranges between 20-40 years
-collapsed countries such as sierra leone, somalia, afganistan
- average life of expectancy ranges between 20-40 years
-collapsed countries such as sierra leone, somalia, afganistan
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stage of receding pandemics
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-mortality declines but fertility remains high leading to population growth
-average life expectancy increases to 30 -50 years
-many low and middle income countries entered this stage in 1940s
-some low income countries especially those in sub-saharan africa remain in this stage
-average life expectancy increases to 30 -50 years
-many low and middle income countries entered this stage in 1940s
-some low income countries especially those in sub-saharan africa remain in this stage
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stage of non-communicable diseases
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-most middle income countries are in this stage
-due to socioeconomic development and improved living conditions
-increase in chronic diseases, heart, lung, metabolic
-life expectancy 70+ years
-due to socioeconomic development and improved living conditions
-increase in chronic diseases, heart, lung, metabolic
-life expectancy 70+ years
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stage of delayed degenerative diseases
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-many high income countries
-mortality from heart disease and cancer decreasing
-allergy, dementia, eating disorders, chronic fatigue syndrome, mental health disorders increasing
-low fertility rates, increase in older adult population
-life expectancy 80+ years
-mortality from heart disease and cancer decreasing
-allergy, dementia, eating disorders, chronic fatigue syndrome, mental health disorders increasing
-low fertility rates, increase in older adult population
-life expectancy 80+ years
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WHO definition of health
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state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity